Individual
DIONTE CHARLES VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
585 MOLLY LANE, WOODSTOCK, GA 30189, WOODSTOCK, GA 30189
(877) 288-4760
Mailing address
585 MOLLY LANE, WOODSTOCK, 30189, WOODSTOCK, GA 30189
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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